Costas D. Lallas, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD426721 Issued in PA

Practice address

833 Chestnut St
Suite 703
Philadelphia, PA 19107-4414

Phone

(215) 955-1000

Fax

(215) 923-2275

NPI assigned

Jul 14, 2006

Last updated

Feb 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Jefferson Medical College of Thomas Jefferson University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
• Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Einstein Practice Plan Inc

  dba Einstein Psychiatry Assoc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment Care Compare group NPD
• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  Urology

  Medicare reassignment Care Compare group NPD
• Aria Health Physician Services

  dba Richboro Medical

  • Family Medicine Physician
  • Richboro, PA
  • NPI 1750949806
  Medicare reassignment NPD
• Abington Memorial Hospital

  dba Abington Mens Urology

  • Urology Physician
  • Abington, PA
  • NPI 1922334697
  Medicare reassignment
• Aria Health Physician Services

  dba Geoffrey W. Temple Family Medical Associates

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD
• Aria Health Physician Services

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1346275526
  NPD
• Einstein Practice Plan Inc

  dba Einstein Nutrition Associates

  • Registered Dietitian
  • Philadelphia, PA
  • NPI 1245891654
  NPD
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433
  NPD
• Abington Memorial Hospital

  dba Abington Health Concussion

  • Sports Medicine (Family Medicine) Physician
  • Willow Grove, PA
  • NPI 1861742900
  NPD (past)
• Einstein Practice Plan Inc

  dba Northern Vascular Lab

  • Surgery Physician
  • Philadelphia, PA
  • NPI 1992761621
  NPD (past)
• Einstein Practice Plan,Inc

  dba Einstein Urology Associates

  • Urology Physician
  • Philadelphia, PA
  • NPI 1154760809
  NPD (past)
• Jefferson University Physicians

  dba Jefferson GI

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Abington Memorial Hospital

  • General Acute Care Hospital
  • Abington, PA
  • NPI 1811992084
  Care Compare affiliation
• Main Line Hospitals, Inc.

  dba Lankenau Hospital

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002
  Care Compare affiliation
• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1922024090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 703",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "SUITE 703",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-1000",
            "fax_number": "215-923-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLAS",
        "first_name": "COSTAS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD426721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101344626",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074560",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepak Raghavan Lakshmipathy
• Divya Lal
• Priti Lal, MD
• Kimberly Laliberte
• Davindra Lall
• Gilian Virginia Lally
• Michelle Lally, LSW
• Nicole Lally
• Sara E Lally, MD
• Amrita Lalvani, M.D.

• Urology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.